Individual
MARK J BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13345 ILLINOIS ST, CARMEL, IN 46032-3318
(317) 396-1300
Mailing address
13345 ILLINOIS ST, CARMEL, IN 46032-3318
(317) 396-1300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001096A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000621925
ANTHEM PIN
IN
Enumeration date
06/22/2009
Last updated
02/23/2021
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